By Jack Danielian
This handbook has been written for a variety of dynamic practitioners interested in treating sufferers with narcissistically-infused matters. The therapy version and case fabric provided in Listening with Purpose hide the spectrum of narcissistic vulnerability and will be utilized to the particularly intact sufferer in addition to to the rather impaired sufferer. all through, it refers to problems with narcissistic vulnerability, from a viewpoint that assumes narcissistic mechanisms are implicated in all degrees of character functioning and in everybody. They exist either in therapists and consumers differing simply within the point of prominence and measure of disturbance within the character.
Cutting throughout numerous faculties of notion, this remedy handbook areas disgrace and its derivatives on the very middle of narcissistic vulnerabilities, vulnerabilities which create personality splits and dissociative phenomena of their wake.
One can ponder whether therapists have shunned taking a look at disgrace due to its contagious characteristics. Human adventure has proven that disgrace is a ubiquitous emotion, but whilst participants come upon disgrace it locations them in a possible paradoxical place which appears to be like very like a dissociated limbo country with out method out. We adventure it and but don’t event it, we see it and don’t see it, we believe it and don’t believe it.
Therapists and psychological future health execs can't correctly deal with unexamined disgrace from inside its center until she or he unearths a appropriate language for the idea that informs the interventions. particularly, the speculation can't reflect pre-existing splits embedded inside a remedy paradigm and can't be weighted with theoretical underpinnings which are distancing, objectifying, or removed.
The authors have proposed in its place an cutting edge paradigm-shifting version that's very particular in recommending an experience-near, moment-to-moment immersion within the conflicted and infrequently disoriented lifetime of sufferers. in contrast to current volumes within the box, Listening with objective: access issues into disgrace and Narcissistic Vulnerability is through layout replete with copious down-to-earth examples to aid advisor one’s systemic shift in remedy concentration, therapy emphasis, and remedy posture. The shift consists of therapeutic on many degrees and opens up for re-assessment and re-evaluation heretofore difficult-to-treat situations of trauma, dissociation, personality disturbances, and addictive disorders.
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Additional resources for Listening with Purpose: Entry Points into Shame and Narcissistic Vulnerability
Using the same case, here is an example of how to use an inquiry process of empathic immersion that maintains an alignment with the patient’s affective state and illustrates how to adopt a posture of presentness. Patient: My husband doesn’t seem to pay any attention to me anymore. Therapist: What happens between you? Patient: Well, I talk to him about my day, and he just ignores me. Therapist: What happens after you start to tell him about your day? Patient: He gets up and just leaves the room sometimes.
Within this closed-system Freud had little confidence in his ability or the ability of any of his peers to write about the training of analysts in any way that would not be misappropriated or misused by later analysts. But of course training that cannot be written down is training that cannot improve itself. This theoretical and clinical impasse began to be overcome in the early 1960s as dynamic psychotherapy began to rid itself of outmoded self-imposed strictures to its practice and to its science.
Regardless of your training and your approach, not taking all of these aspects of the psyche into consideration does not mean that all aspects of the individual’s psyche aren’t operating and influencing the treatment. Underattention to the whole runs the risk of reductionistic thinking, incomplete treatment, a shifting of symptoms, or a revolving-door approach to therapy. This Four Quadrant Training Model is used as a teaching tool, a means of helping clinicians become more proficient at phenomenological tracking, listening for and facilitating the integration of split-off material in the psyche.
Listening with Purpose: Entry Points into Shame and Narcissistic Vulnerability by Jack Danielian